Elderly pedestrian neurotrauma: A descriptive study from a premier neurotrauma center in India

Ashok Munivenkatappa; Nupur Pruthi; Mariamma Philip; Bhagavatula I Devi; Sampath Somanna

doi:10.4103/0976-3147.105606

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Original Article

4 (

); 29-32

doi:

10.4103/0976-3147.105606

Elderly pedestrian neurotrauma: A descriptive study from a premier neurotrauma center in India

Ashok Munivenkatappa, Nupur Pruthi^,, Mariamma Philip, Bhagavatula I Devi, Sampath Somanna

Departments of Neurosurgery, National Institute of Mental Health and Neurosciences, Bangalore, Karnataka, India

1 Departments of Bio‑stastitics, National Institute of Mental Health and Neurosciences, Bangalore, Karnataka, India

Dr. Nupur Pruthi Department of Neurosurgery, National Institute of Mental Health and Neuro Sciences Hosur Road, Bangalore, Karnataka India pruthi_nupur@yahoo.co.in

Journal of Neurosciences in Rural Practice

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This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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This article was originally published by Thieme Medical and Scientific Publishers Private Ltd. and was migrated to Scientific Scholar after the change of Publisher.

Abstract

ABSTRACT

Context: Experience with elderly pedestrian neurotrauma at a major neurotrauma tertiary center. Aims: To highlight the specific injuries and outcome of the elderly pedestrian neurotrauma patients within the city of Bangalore and its surrounding districts. Settings and Design: A retrospective study consisting of demographic data, clinical findings, radiological details, and outcomes. Materials and Methods: A study was conducted at the casualty services, in which 143 consecutive elderly pedestrian (age >60 years) head injury victims were studied from June to September 2009. The records from the hospital mortuary were analyzed from 2007 to 2009. An analysis of 77 elderly patients who died as a pedestrian in accidents during this period was performed. Statistical Analysis Used: SPSS 15. Results: The elderly pedestrians constituted 27% (143/529) of all pedestrian traumas. Two wheelers were the most common accident vehicle (56.6%, 81/143). Most of the injuries (38.5%, 55/143) occurred during peak traffic hours, that is, 4 pm to 9 pm. Majority sustained moderate to severe head injury (61%, 87/143). More than three‑fourths of patients required a computed tomography (CT) scan (77%, 110/143), in which there was a higher frequency of contusion (31.5%, 45/143), and subdural hemorrhage (23.1%, 33/143). Most of the injured (43.3%, 13/30) underwent surgery for intracranial hematoma. The mortality rate was 22.8% (8/35). Nearly one‑fourth of conducted postmortems among pedestrians belonged to the elderly age group (77/326, 23.6%). Conclusions: Elderly pedestrian neurotrauma patients sustain a more severe injury as evident by poorer Glasgow Coma Score (GCS) scores and CT scan findings, and hence have a higher mortality rate.

Keywords

Bangalore

elderly pedestrian

neurotrauma

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Conflicts of interest

None declared

REFERENCES

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[1] Tokdemir M, Kafadar H, Turkoglu A, Deveci S. E., Colak C, . Comparison of the severity of traumatic brain injuries in pedestrians and occupants of motor vehicles admitted to firat health center: A five-year series in an Eastern Turkish city. Med Sci Monit. 2009;15:PI1-4.
[Google Scholar]

[2] Gururaj G, . Road traffic injury prevention in India. Bangalore: National Institute of Mental Health and Neuro Sciences; 2006. Publication No, 56
[Google Scholar]

[3] Wang Z, Jiang J, . An overview of research advances in road traffic trauma in China. Traffic Inj Prev. 2003;4:9-16.
[Google Scholar]

[4] Yeung J. H., Chang A. L., Ho W, So F. L., Graham C. A., Cheng B, et al. . High risk trauma in older adults in Hong Kong: A multicentre study. Injury. 2008;39:1034-41.
[Google Scholar]

[5] Bureau , . National Crime Records. Accidental deaths and suicides in India. Ministry of Home Affairs. New Delhi: Government of India; 2007.
[Google Scholar]

[6] Takanishi D. M. Jr, Yu M, Morita S. Y., . Increased fatalities and cost of traumatic injuries in elderly pedestrians in Hawaii: A challenge for prevention and outreach. Asia Pac J Public Health. 2008;20:327-39.
[Google Scholar]

[7] Abou-Raya S, ElMeguid L. A., . Road traffic accidents and the elderly. Geriatr Gerontol Int. 2009;9:290-7.
[Google Scholar]

[8] Gorrie C. A., Rodriguez M, Sachdev P, Duflou J, Waite P. M., . Increased neurofibrillary tangles in the brains of older pedestrians killed in traffic accidents. Dement Geriatr Cogn Disord. 2006;22:20-6.
[Google Scholar]

[9] Selway J. S., Soderstrom C. A., Kufera J. A., . Alcohol use and testing among older trauma victims in Maryland. J Trauma. 2008;65:442-6.
[Google Scholar]

[10] Romero-Ortuno R, Cogan L, Cunningham C. U., Kenny R. A., . Do older pedestrians have enough time to cross roads in Dublin? A critique of the Traffic Management Guidelines based on clinical research findings. Age Ageing. 2010;39:80-6.
[Google Scholar]

[11] Beck L. F., Paulozzi L. J., Davidson S. C., . Pedestrian fatalities, Atlanta Metropolitan Statistical Area and United States, 2000-2004. J Safety Res. 2007;38:613-6.
[Google Scholar]

[12] Small T. J., Sheedy J. M., Grabs A. J., . Cost, demographics and injury profile of adult pedestrian trauma in inner Sydney. ANZ J Surg. 2006;76:43-7.
[Google Scholar]

[13] Odebode T. O., . Age related pattern and outcome of head injury in indigenous Africa. Niger J Clin Pract. 2008;11:265-9.
[Google Scholar]

[14] Gan B. K., Lim J. H., Ng I. H., . Outcome of moderate and severe traumatic brain injury amongst the elderly in Singapore. Ann Acad Med Singapore. 2004;33:63-7.
[Google Scholar]

[15] Adam S. H., Eid H. O., Barss P, Lunsjo K, Grivna M, Torab F. C., et al. . Epidemiology of geriatric trauma in United Arab Emirates. Arch Gerontol Geriatr. 2008;47:377-82.
[Google Scholar]

[16] Akkose Aydin S, Bulut M, Fedakar R, Ozgurer A, Ozdemir F, . Trauma in the elderly patients in Bursa. Ulus Travma Acil Cerrahi Derg. 2006;12:230-4.
[Google Scholar]

[17] Moharamzad Y, Taghipour H, Hodjati Firoozabadi N, HodjatiFiroozabadi A, Hashemzadeh M, Mirjalili M, et al. . Mortality pattern according to autopsy findings among traffic accident victims in Yazd, Iran. Chin J Traumatol. 2008;11:329-34.
[Google Scholar]

Elderly pedestrian neurotrauma: A descriptive study from a premier neurotrauma center in India

Abstract

ABSTRACT

Keywords

Bangalore

elderly pedestrian

neurotrauma

Conflicts of interest

REFERENCES

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